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Nursing Care Plan Template

The document is a nursing care plan template from the College of Nursing at Visca Baybay City Leyte Philippines. It includes fields for the patient's information, chief complaints, assessment cues, nursing diagnosis, desired outcomes, planned nursing interventions including independent, dependent and collaborative interventions, and an evaluation section.

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60 views1 page

Nursing Care Plan Template

The document is a nursing care plan template from the College of Nursing at Visca Baybay City Leyte Philippines. It includes fields for the patient's information, chief complaints, assessment cues, nursing diagnosis, desired outcomes, planned nursing interventions including independent, dependent and collaborative interventions, and an evaluation section.

Uploaded by

Devine
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

COLLEGE OF NURSING

Visca, Baybay City, Leyte, PHILIPPINES


Tel. no.: (053) 563-7226
Email address: [email protected]
Website: www.vsu.edu.ph

NURSING CARE PLAN


Care Plan No.: ______
Patient’s Name: ________________________________ Age/Sex: _____________ Chief Complaint/s: ___________________________

Outcome Planned Nursing Interventions


Assessment Cues Nursing Diagnosis Evaluation
Identification Nursing Interventions Rationale
Subjective: Goal: Independent:

Desired Outcome:

Scientific Basis:
Objective:
Dependent:

Collaborative:
References:

Vision: A globally competitive university for science, technology, and environmental conservation.
Mission: Development of a highly competitive human resource, cutting-edge scientific knowledge and innovative technologies for sustainable communities and environment.

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